基于“骨正-筋柔-肉实”理论的运动疗法在膝骨关节炎中的应用研究进展

Research progress on the application of exercise therapy based on the theory of “straight bones-flexible tendons-firm flesh” in knee osteoarthritis

关键词:  骨正-筋柔-肉实  膝骨关节炎  运动疗法  综述

Key words:  bone straightening-tendon softening-flesh firming  osteoarthritis of the knee  exercise therapy  review

摘要:

膝骨关节炎（KOA）是一种高发病率与致残率的疾病，常伴随关节生物力学失衡及诸多临床症状。运动疗法可有效调节膝关节生理机能，强化软组织韧性与肌肉力量，延缓疾病恶化进程，显著缓解关节疼痛并改善关节功能。运动治疗KOA作用核心在于重塑膝关节力学微环境，恢复膝关节力学平衡，加速软组织修复，契合中医“筋骨并重、气血调和”理念，促使关节达到“骨正”“筋柔”“肉实” 的理想稳态。文章在中医“骨正-筋柔-肉实”理论架构下，深度剖析运动疗法在KOA治疗中的应用价值，以期提升临床疗效，减轻患者病痛，为KOA非药物治疗开拓新方向。

Abstract:

Knee osteoarthritis（KOA） is a disease with high morbidity and disability，often accompanied by biomechanical imbalance of the joint and many clinical symptoms. Exercise therapy can effectively regulate the physiological function of the knee joint，strengthen the soft tissue and muscle strength，slow down the progression of the disease，significantly relieve joint pain and improve joint function. The core of KOA is to reshape the mechanical microenvironment of the knee joint，restore the mechanical balance of the knee joint，accelerate the repair of soft tissues，which is in line with the concept of Chinese medicine，which is to “emphasize the muscles and bones，and regulate the qi and blood”，and to promote the joints to reach the concepts of “correct bones” “soft muscles” and “soft joints”. The ideal homeostatic state of “bone correctness”“tendon softness” and “flesh solidity” can be achieved by the joints. In this paper，we will analyze the application value of exercise therapy in KOA treatment under the theoretical framework of Chinese medicine，with the aim of improving clinical efficacy，alleviating patients’ pain，and opening up a new direction for the non-pharmacological treatment of KOA.